01D2158456 CLIA NUMBER - WALMART PHARMACY 10-4581

Laboratory Demographics

  • CLIA Code: 01D2158456
  • Facility Name: WALMART PHARMACY 10-4581
  • Facility Address: 2500 DAWES RD
    MOBILE, AL
    ZIP 36695
  • Facility Phone: 251 633-6509
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA DAVIS
  • NPI Number: 1427234871
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158456
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4581
Street 2500 DAWES RD
City MOBILE
State AL
ZIP 36695
Phone 251 633-6509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Pharmacy
Lab Director SAMANTHA DAVIS

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This page was last updated on: 9/29/2025